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Florida’s ARPA HCBS Spending Plan

Florida’s ARPA HCBS Spending Plan

The American Rescue Plan Act (ARPA) went into effect April 1, 2021.

Section 9817 of this Act authorized an increased Federal Medical Assistance Percentage (FMAP) to support Home and Community-Based Services (HCBS).  The ten (10) percentage point enhancement to the FMAP will be based on State Medicaid spending on HCBS services during the period between April 1, 2021 and March 31, 2022; the Act also stipulates that these funds must be expended by March 31, 2024.

The State is required to submit quarterly updates to CMS on the status of the HCBS Spending Plan and Narrative.

One-Time Retention Payment for Non-HCBS Waiver Providers

The Agency for Health Care Administration (Agency) is pleased to announce a disbursement of additional funding from the ARPA HCBS Enhanced Funding Opportunity. Approximately $181 million will be provided to the Medicaid Managed Care Plans for disbursement to the following Florida Medicaid provider fee schedules:

  • Assistive Care Services (PT 14)
  • Community Behavioral Health (PT 05)
  • Durable Medicaid Equipment (A, E, K, B and T codes only)(PT 90)
  • Home Health Visit Services (PT 65)
  • Personal Care Services (PT 65)
  • Private Duty Nursing Services (PT 65)

The Agency is initiating a one-time retention payment for non-HCBS waiver providers. This payment would not require any application or reporting from our providers. The one-time payments will be calculated based on a 19% rate increase applied to non-waiver HCBS claims for allowable services as listed above, provided from July 1, 2021- June 30, 2022.

Payments have been disbursed to the plans and the plans  will then have 30 days to make disbursements to eligible providers.

ARPA HCBS Materials and Submissions

Florida’s ARPA HCBS Submission - July 2021 [ pdf 566.4 kB ]
Florida’s ARPA Response to Request for Additional Information - August 2021 [ pdf 974.9 kB ]
Florida’s ARPA Updated HCBS Submission – September 2021 [ pdf 661.1 kB ]
Florida’s ARPA HCBS Conditional Approval – September 28, 2021 [ pdf 176.2 kB ]
Florida’s Quarterly Spending Plan and Narrative – October 15, 2021 [ pdf 408.9 kB ]